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General NPI Number Information
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NPI Number | 1558416412
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Entity Type | Organization
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Legal Business Name | A1A FAMILY EYE CARE, INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 4788 HODGES BLVD UNIT 205
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City | JACKSONVILLE
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State | FL
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Zip | 32224
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Country | US
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Telephone | 904-992-9991
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Fax | 904-992-9997
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Provider Business Mailing Address
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Address Line | 4788 HODGES BOULAVARD UNIT 205
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City | JACKSONVILLE
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State | FL
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Zip | 32224-7223
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Country | US
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Telephone | 904-992-9991
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Fax | 904-992-9997
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Authorized Official
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Title or Position | OWNER
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Name | JAMES ANTHONY HORNING
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Credential | O.D.
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Telephone | 904-992-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC1749
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License Number State | FL
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